영골(靈骨).강압혈(降壓穴) 자극(刺鍼)이 혈압(血壓)에 미치는 영향(影向)

임영남,심성용,한지완,고호연,박종형,한양희,전찬용,김동우,Yim, Young-Nam,Sim, Sung-Yong,Han, Ji-Wan,Ko, Ho-Yeon,Park, Chong-Hyeong,Han, Yang-Hee,Chun, Chan-Yong,Kim, Dong-Woo 대한한방내과학회 2004 大韓韓方內科學會誌 Vol.25 No.2

Objective : The purpose of this study is to evaluate the clinical effect of the non-pharmacological anti-hypertension method, acupuncture, for hypertensive patients. Methods : 26 patients diagnosed with hypertension were each treated by one of three methods: an anti-hypertension drug(adalat soft capsule), venepuncture, and acupuncture. In cases of rising blood pressure, patients were treated by their one of the three methods, and blood pressure was measured at regular intervals. Result : As for the group of acupuncture treated patients on Young-gol(ling-gu) and Gang-ap-hyul(jiang-ya-xue), readings dropped 18.0mmHg in systolic blood pressure and 6.50mmHg in diastolic blood pressure. This was a greater effect than that seen in the venepuncture treated patients. Blood pressure checked one hour after acupuncture treatment showed a greater difference than blood pressure checked after thirty minutes. Conclusion : Safe reductions in blood pressure were observed through the non-pharmacological method of acupuncture on Young-gol(ling-gu) and Gang-ap-hyul(Jiang-ya-xue).

40세 이하 관상동맥 질환자에서 장기적 임상 관찰

이승욱,정명호,박종철,박형욱,조상희,김원,김계훈,이상현,강경태,조장현,김남호,김건형,안영근,조정관,박종춘,강정채 全南大醫大 2001 전남의대학술지 Vol.37 No.2

초·중·고등학교 학생, 학부모, 일반교사의 보건교육 요구

윤순녕,김영임,최정명,조희순,김영희,박영남,오경순,이분옥,조선녀,조소영,한선희,하영미 韓國學校保健學會 2004 韓國學校保健學會誌 Vol.17 No.2

Purpose : The purpose of this study was to identify needs of health education of the students, parents, general teachers, and health teacher of the elementary, middle, and high schools. Method : 279 schools of elementary, middle, and high school were sampled nonproportionally during the period from June 28 to July 26, 2004 . The data were collected by the questionnaire from 1,888 students, 1,876 parents, 1,695 general teachers, 279 health teachers. A frequency, % and χ2-test were used to analysis by SAS program. Result : 1. It showed that 98.1% of elementary school students, 92.3% of middle school students, 89.6% of high school students answered that they need health education. The most of students, parents, and general teachers had high interests in health education. 2. In the case of students, main causes of needs of health education was 'to prevent diseases or accidents''. But parents answered that it was 'to build up a healthier behavior'. General teachers answered that it was 'more effective systematic and continuous health education'. 3. Over 80% of students, parents, and general teachers about the question of who qualified person is to teach health education as a regular class responded that health teacher is available. Especially 93% of elementary school students answered like that. 4. The most of students, parents, and general teachers answered that health education in the classroom is favorable 1 to 2 hours per week. Conclusion : As results of the study , the majority of students, parents, general teachers agreed needs of health education. Therefore, on the basis of this study, systematic and continuous health education is necessary. Additionally the establishment of independent health subject is required certainly.

초·중·고등학교 학생·학부모·일반교사의 보건교육 영역별 요구도와 보건교육

윤순녕,김영임,최정명,조희순,김영희,박영남,오경순,이분옥,조선녀,조소영,한선희,하영미 韓國學校保健學會 2005 韓國學校保健學會誌 Vol.18 No.1

Purpose: The purpose of this study was to identify the needs of health education in students, their parents and teachers in the elementary, middle and high schools and the current situation of health education class. Method: The subjects of this study were a total of 9450 persons including students, their parents and teachers from 279 schools throughout the country. They were selected through convenient sampling. Data were analyzed through x^(2)­test and ANOVA. Result: Students, their parents and teachers replied that 18 dimensions of health education class (DHEC) are necessary. The four DHEC - healthier life style, sex education, mental health and safety education - showed high educational needs in students, their parents, and teacher. High school students had higher educational need of 'symptom management for daily living' than elementary and middle school students. Students, their parents and teachers in elementary school had higher educational needs of 17 DHEC that those in middle and high school. The percentages of schools with health education class taught by health teachers were 99.2%, 75.5% and 66.0% respectively in elementary, middle and high schools. Health education was given mainly using physical education classes at elementary schools, and creative class hours at middle and high schools. In general, health education took 1-3 hours per week at elementary schools, and less than an hour at middle and high schools. Conclusion: Therefore, based on the results, systematic health education class should begin from elementary school to meet the need of health education in students, their parents and teachers, and further study should be made on the number of hours required and the amount of contents of 18 DHEC.

忠南 錦山郡 西臺山 一帶의 나비目 昆蟲相

남상호,조영호,장석원,박영준,이선영,나선희 대전대학교 기초과학연구소 2002 自然科學 Vol.13 No.2

충청남도 금산군 서대산 일대의 나비목 곤충상을 조사한 결과 22과 344종 1,936개체가 조사되었다. 이중 밤나방과가 102종 589개체, 자나방과가 67종 440개체로 이 2과가 전체의 50%이상을 차지하였다. 자나방과의 두줄가지나방은 1,936 개체중 85개체가 채집되어 4.4%의 가장 높은 우점도를 나타냈다. 월별 우점종은 4월 노랑무늬물결자나방, 5월 별박이세줄나비, 6월 목도리불나방, 7월 청백무늬밤나방, 8월 두줄가지나방, 9월은 털뿔가지나방이 조사되었다. 월별 종다양도는 4월 2.95, 5월 3.37, 6월 4.63, 7월 4.62, 8월 4.23, 9월은 2.97이었으며, 평균 종다양도는 3.80으로 서대산 일대의 나비목 곤충상은 비교적 양호한 편으로 조사되었다. This study was carried out to investigate Lepidopterous insect fauna from Mt. Seodae in Geumsan-gun, Chungnam. The samples were collected from April to September in 2001. Total 1,936 individuals belonging to 344 species, 22 families of Lepidoptera were collected. The sum of individuals belonging to Noctuidae and Geometridae exceed 50% of the collected samples in that Noctuidae was consisted of 102 species 589 individuals and Geometridae was 67 species 440 individuals. The dominant species in surveyed area was Rikiosatoa grisea of Geometridae, the dominant species by month were Idiotephria amelia in April, Neptis pryeri in May, Paraona staudinger in June, Ercheia niveostrigata in July, Rikiosatoa grisea in August and Alcis angulifera in September respectively. Species diversity indices by month were 2.93 in April, 3.37 in May, 4.63 in June, 4.62 in July, 4.23 in August and 2.97 in September respectively. Mean species diversity index was 3.80.

항갑상선제로 치료한 그레이브스병 환자의 관해예측인자

남일송,윤여일,김선규,김용현,이주영,목지오,윤석기,김철희,김영선,변동원,서교일,유명희 순천향의학연구소 2001 Journal of Soonchunhyang Medical Science Vol.7 No.2

Background: Most cases of Graves' disease have been treated by antithyroid drugs in Korea. The major drawbacks of antithyroid drugs are the relative high rate of relapse and the inconvinience of long term therapy. Measurement of TBII and TRH stimulation test have been considered as the most reliable tests predicting relapse, but the predictive power is not high enough to use in clinical situation. This study was performed to find good prognostic indicators in Graves' disease patients after the discontinuation of antithyroid drug therapy. Subjects and methods : We restrospectively evaluated 96 patients with Graves' disease who showed normal TRH test at the end of antithyroid drug therapy and were followed for more than one year. Serum T3, T4, T3/T4 ratio, TBII, Anti-TPO Ab and TGAb levels were measured at the time of diagnosis and at the end of therapy. Two to three months after withdrawal of antithyroid medication, serum TSH and free T3 responses to TRH were examined. These parameters were compared between the relapse group and the remission group. Results : Among the 96 patients, 22 patients(22.9%) relapsed(Group Ⅱ) and 74 patients(77.1%) remained in remmision(Group Ⅰ). No significant difference was observed between the relapse and the remission group in clinical parameters, serum T3, T4, TSH, T3/T4 ratio, TBⅡ and Anti-TPO Ab determined before and after treatment. Serum TSH and free T3 levels measured after TRH stimulation were also similar in both groups. Serum TGAb levels determined at the end of treatment were significantly higher in the remission group(p<0.05). Relapse following the discontinuation of therapy occured within 24 months in 72.7% of the relapsed cases. After 24 months, relapse rate was reduced significantly. Conclusion : These results suggest that high serum TGAb levels could be a favorable prognostic indicator for the long term remission of Graves' disease treated with antithyroid drugs, and may suggest that Hashimoto's thyroiditis is combined with Graves' disease in those patients.

同一患者 醫務記錄과 診療費明細書의 傷病名에 關한 實態 調査 硏究

남영희,박경숙 중앙대학교 의과대학 간호학과 간호과학연구소 1997 중앙간호논문집 Vol.1 No.2

The Purpose of this study was to serve as a basis for the improvement of health care insurance's payment system and the elevation of public health statistics', quality, by comparing the name of injury or disease of a patient described in a medical record with that of the same patient described in a detailed medical treatment account to find out whether the names expressed on both papers agreed with each other. The subjects in this study were inpatients who were taken under health care insurance to a hospital with more than 300 sickbeds that was not equipped with computer system and to a hospital with more than 400 sickbeds that was equipped with computer system. The data were collected from 682 patients who were out of the hospital with more than 300 sickbeds for two months from December 1996 through January 1997, and from 1,020 patients who were out of the hospital with more than 400 sickbeds for a month, in October 1996. The collected data were processed using SPSS. The following findings were given as a result of conducting study on the name of the same patients's injury or disease recorded in a medical record and a detailed medical treatment account: The largest department in the hospitals investigated was the internal treatment department(29.2 percent), the general surgical department (17.5 percent), and the obstetrics and gynecology in the order. The injury or disease added in detailed medical treatment account in comparison with each sickbed's medical record was 402 cases(26%) for the 20 largest ones among total 1,495 cases's distribution frequencies at the hospital with more than 300 sickbeds and 985 cases(32%) for the 20 largest ones among total 3,366 cases' distribution frequencies at the hospital with more than 400 sickbeds. The injury or disease omitteed in medical treatment account in comparison with each sickbed's medical record was 181 cases(32%) for the 20 largest ones among total 600 cases' distribution frequencies at the hospital with more than 300 sickbeds and 145 cases(21%) for the 20 largest ones among 713 cases' distribution frequencies at the hospital with more than 400 sickbeds. The injury or disease totally agreed between each sickbed's medical record and medical treatment account was 226 cases(39%) for the 20 largest ones among, total 582 cases' distribution frequencies at the hospital with more than 300 sickbeds and 373 cases(32%) for the 20 largest ones among total 1,254 cases' distribution frequencies at the hospital with more than 400 sickbeds. The injury or disease partially agreed between each sickbed's medical record and medical treatment account was 292 cases(37%) for the 20 largest ones among total 857 cases' distribution frequencies at the hospital with more than 300 sickbeds and 339 cases(30%) for the 20 largest ones among total 1,320 cases' distribution frequencies at the hospital with more than 400 sickbeds. and then, the number of classification symbol of injury or disease was compared between each sickbed's medical record and medical treatment account. As a result, what medical treatment account had larger number of classification symbol than medical record did was 926 cases(178%) for the hospital with more than 300 sickbeds and 2,695 cases(242%) for the hospital with more than 400 sickbeds. The mean number of classification symbol in each medical record was 1.8, while that of medical treatment account was 3.9. The number of injury or disease recorded in detailed medical treatment account was two times on the average as many as that in medical record. The agreement ratio of each sickbed's classification symbol was that 60.1 percent showed a perfect agreement and 70.9 percent showed a partial agreement. The agreement rate of medical record was that 25.6 percent agreed and 74.4 percent disagreed. The disagreement rate was higher than the agreement rate.

Polar 변환을 이용한 의료영상에서의 강인한 워터마킹 기법

남기철,김영희,박무훈 국립7개대학공동논문집간행위원회 2003 공업기술연구 Vol.3 No.-

In this paper, we propose a robust watermarking against RST attacks in medical images on the PACS. The proposed scheme modifies and improves Log-Polar Mapping and Fourier Mellin Transform in order to realize and recover serious image degradation and watermark data loss caused by the conversion between cartesian coordinate and log-polar coordinate. We used the radius and theta Look Up Table to solve the realization of the Fourier Mellin Transform, and inserted a watermark into 2D-DFT magnitude using the Spread Spectrum. Experimental results show that this method is robust to rotation attack.

수도권의 통행수단별 지역연결체계

남영우,한문희,우광석 한국도시지리학회 2005 한국도시지리학회지 Vol.8 No.1

본고는 사람트립을 분석지표로 통행수단에 따른 수도권의 지역연결체계로 파악되는 지역구조의 파악에 주안점을 두었다. 이를 위해, 본고에서는 직접연결을 고려하는 원자료행렬과 직접연결과 간접연결까지 고려하는 인접행렬에 의한 통행수단별 연결체계를 비교하였다. 그 결과 원자료행렬과 인접행렬의 연결체계는 통행수단별로 상이한 결과를 나타내었다. 즉 원자료행렬과 인접행렬에 의한 연결체계가 승용차통행에서는 각각 11개와 12개, 버스통행에서는 각각 17개와 12개, 지하철통행에서는 각각 3개와 1개, 그리고 총통행에서는 각각 13개와 9개로 추출되었다. 이러한 지역연결체계를 파악함에 있어 직접연결뿐만 아니라 간접연결까지 고려한 인접행렬에 의한 연결체계 분석이 직접연결법보다 효과적인 것으로 나타났다. This paper aims to analyze the regional linkage systems and nodal regional structures of Seoul Metropolitan Area by trip mode using person trip as the analyzing index. The findings from the comparison of the raw data matrix with the direct linkage on the one hand and the adjacency matrix with the direct and indirect matrix on the other are as follows: the regional linkage systems of the raw data matrix and the adjacency matrix differ according to trip mode. The linkages drawn from the raw data matrix and the adjacency matrix are eleven and twelve in car trip, seventeen and twelve in bus trip, three and one in subway trip, and thirteen and nineteen in total mode trip respectively. This shows that the analysis of regional systems based on the direct as well as indirect linkage are more effective than the direct connection method in grasping the regional linkage systems.

인도메타신 소프트 하이드로겔로 부터 약물 방출에 미치는 피부투과촉진제의 영향

남현규,이치호,신영희 한국약제학회 2002 Journal of Pharmaceutical Investigation Vol.32 No.1

We prepared a novel dosage form, peel-off type soft hydrogel using poly(vinyl alcohol), and evaluated the effect of skin penetration enhancer on the indomethacin release from soft hydrogel by in vitro permeation and in vivo absorption test. In this study, we used four enhancers-urea, dimethyl urea, 1,1,3,3-tetramethyl urea, and pirotiodecane (1[2(decylthio)ethyl]azacyclopentane-2-one, HPE-101^??. In addition, we evaluated the primary skin irritation test of soft hydrogel using rabbit. From these results, we could find the pirotiodecane was a prominent enhancer, and soft hydrogel seemed to be safe and have no irritancy.